| NPI | 1154670602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A141377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A141377) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2023-10-06 |